| Compass Health, Inc | |
| 
					200 Senn Tomas Dr Herculaneum MO 63048-1033  | |
| (636) 277-6096 | |
| (636) 224-6776 | 
| Full Name | Compass Health, Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 200 Senn Tomas Dr, Herculaneum, Missouri | 
| Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) | 
| Authorized Official Contact | 6364666452 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Compass Health, Inc 1800 Community Clinton MO 64735-8804 Ph: (844) 853-8937  | Compass Health, Inc 200 Senn Tomas Dr Herculaneum MO 63048-1033 Ph: (636) 277-6096  | 
| NPI Number | 1548738719 | 
|---|---|
| Provider Enumeration Date | 11/06/2018 | 
| Last Update Date | 08/04/2023 | 
| Medicare PECOS PAC ID | 1951206754 | 
|---|---|
| Medicare Enrollment ID | O20230912001261 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548738719 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Edwardo D Verzola Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Herculaneum Industrial Dr, Herculaneum, MO 63048 Phone: 636-937-8675 Fax: 636-933-1981  |